Journal of Korean Dental Science

  • 제8권1호
  • /
  • Pages.1-9
  • /
  • 2015
  • /
  • 2005-4742(pISSN)
  • /
  • 2713-7651(eISSN)
대한치의학회 (Korean Academy of Dental Science)
권호 표지
DOI QR코드

DOI QR Code

Effectiveness of Temporomandibular Joint Disorder Follow-Up Using Bone Scans

  • Ku, Jeong-Kui (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital)
  • 투고 : 2014.09.03
  • 심사 : 2015.05.14
  • 발행 : 2015.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: To evaluate the effectiveness of temporomandibular joint (TMJ) disorder follow-up and determine the factors that affect the TMJ bone scan hot spot numerical value (bone scan value), and to compare this value to the diagnosis of patients with temporomandibular joint disorders (TMD), their treatment options, and the resolution of their symptoms. Materials and Methods: A retrospective cohort study was performed on 24 patients (four males, 20 females) who received TMD treatment in the Section of Dentistry, Seoul National University Bundang Hospital (Seongnam, Korea) from 2007 to 2014. An analysis of the significance test and correlation between TMD diagnosis, treatment options, a baseline the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire, treatment before and after the clinical examination and subjective progress, and TMJ bone scan value change were completed by using SPSS version 12.0. Result: Although only 14 patients had bony factors that caused TMD, the average pre-treatment bone scan value of the all patients was $4.29{\pm}0.31$, which is higher than the finding for osteoarthritis (3.88), and reduced post-treatment bone scan value was found to be without a statistically significant difference (P=0.056). After the treatments, clinical symptoms in 18 patients disappeared, and six patients did not require additional treatment, although they still displayed subjective symptoms. It was observed that the higher the pre-treatment bone scan value, nonspecific physical symptoms, chronic pain index, characteristic pain intensity, disability score, were, the lower the post-treatment bone scan value was. And this reduced post-treatment bone scan value tendency was not shown with the pre-treatment depression index, but there was not a statistical difference. Conclusion: The post-treatment TMJ bone scan value tended to be insignificantly reduced in the 24 patients whose clinical symptoms were improved (P=0.056). Moreover, the TMJ bone scan value showed no relation to the TMD type or its related symptoms.

키워드

참고문헌

  1. Kim YK. Pathogenesis, counseling and medication of temporomandibular joint disorder. Temporomandibular Joint Corp. 2006; 2: 1-9.
  2. Jung SC, Kim YG, Shin KB, Ko MY, Kim KS. Orofacial pains and temporomandibular disorders. Seoul: Shinhung International Co.; 1996.
  3. Goldstein HA, Bloom CY. Detection of degenerative disease of the temporomandibular joint by bone scintigraphy: concise communication. J Nucl Med. 1980; 21: 928-30.
  4. Craemer TD, Ficara AJ. The value of the nuclear medical scan in the diagnosis of temporomandibular joint disease. Oral Surg Oral Med Oral Pathol. 1984; 58: 382-5. https://doi.org/10.1016/0030-4220(84)90327-X
  5. Kim JH, Kim YK, Kim SG, Yun PY, Kim JD, Min JH. Effectiveness of bone scans in the diagnosis of osteoarthritis of the temporomandibular joint. Dentomaxillofac Radiol. 2012; 41: 224-9. https://doi.org/10.1259/dmfr/83814366
  6. Shim CH, Kim BS, Yim JH, Yun PY, Kim YK. Analysis of the availability of bone scans in the diagnosis of temporomandibular joint diseases. Temporomanibular Joint Corp. 2006; 2: 27-38.
  7. Okeson JP, de Kanter RJ. Temporomandibular disorders in the medical practice. J Fam Pract. 1996; 43: 347-56.
  8. Kim YK, Kim SG, Im JH, Yun PY. Clinical survey of the patients with temporomandibular joint disorders, using Research Diagnostic Criteria (Axis II) for TMD: preliminary study. J Craniomaxillofac Surg. 2012; 40: 366-72. https://doi.org/10.1016/j.jcms.2011.05.018
  9. Lee SM, Lee WW, Yun PY, Kim YK, Kim SE. Prediction of splint therapy efficacy using bone scan in patients with unilateral temporomandibular disorder. Nucl Med Mol Imaging. 2009; 43: 143-9.
  10. Okamura T, Kawata R, Ohta A, Koide K, Hatate S. Clinical evaluation of protocol for the craniomandibular disorders. 2. Craniomandibular disorders according to new classification. Shigaku. 1990; 78: 107-14.
  11. Kim YK, Kwon MJ. The evaluation of subjective symptoms of the patients with TMD using TMD RDC chart after treatment. Temporomandibular Joint Corp. 2010; 1: 37-44.
  12. Epstein JB, Rea A, Chahal O. The use of bone scintigraphy in temporomandibular joint disorders. Oral Dis. 2002; 8: 47-53. https://doi.org/10.1034/j.1601-0825.2002.10753.x
  13. Kacena MA, Merrel GA, Konda SR, Wilson KM, Xi Y, Horowitz MC. Inflammation and bony changes at the temporomandibular joint. Cells Tissues Organs. 2001; 169: 257-64. https://doi.org/10.1159/000047889
  14. Seo BJ, Ko MY. A study on clinical diagnosis of temporomandibular joint disorders using bone scan. Korean J Oral Med. 1996; 21: 103-13.
  15. Kigami Y, Yamamoto I, Ohnishi H, Miura H, Ohnaka Y, Ota T, Yuu I, Masuda K, Morita R. Age-related change of technetium-99m-HMDP distribution in the skeleton. J Nucl Med. 1996; 37: 815-8.
  16. Keller DC, Cusumano JV, Jackson RF, Cook MA. Quantitative radionuclide scanning of the temporomandibular joint. An initial study. Cranio. 1987; 5: 152-6. https://doi.org/10.1080/08869634.1987.11678185
  17. Kircos LT, Ortendahl DA, Hattner RS, Faulkner D, Chafetz NI, Taylor RC. Emission imaging of patients with craniomandibular dysfunction. Oral Surg Oral Med Oral Pathol. 1988; 65: 249-54. https://doi.org/10.1016/0030-4220(88)90175-2
  18. Oesterreich FU, Jend-Rossmann I, Jend HH, Triebel HJ. Semiquantitative SPECT imaging for assessment of bone reactions in internal derangements of the temporomandibular joint. J Oral Maxillofac Surg. 1987; 45: 1022-8. https://doi.org/10.1016/0278-2391(87)90157-1
  19. Kim YK, Park JH. Evaluation of the results of splint therapy in the patients with temporomandibular disorder: TMD RDC axis II analysis. Temporomanibular Joint Corp. 2010; 1: 19-24.
  20. Koo YS. Comparison of CBCT with panorama and transcranial projection in the bony change of temporomandibular condyle head. Temporomanibular Joint Corp. 2010; 1: 17-28.